Having been a retail pharmacist, I can say- with 100% certainty- that my employers perceived pharmacists as having ZERO value. Management from the top down loathed us. We made "a lot of money" but did little more than work as overpriced cashiers. If you're taught that you are worthless, eventually you will believe it....
Exactly. Most retail pharmacists would counterargue that they should be "counseling" or "using their cognitive abilities" but their business function is tied to dispensing so practically speaking they will never be able to do that. Even if they were allowed to spend most of their time counseling, in the retail setting you will mostly be doing counseling that is focused on things such as:
- Helping someone pick between two PPIs/OTC medications
- Discussing how to take a new medication by reading off the prescription label
- Discussing what supplement is best for bone health
-Discussing most effective contraceptive methods
which are things that don't "improve clinical outcomes," so if I were a business owner why would I pay big bucks for someone to spend their time doing these things?
The only model where counseling "full time" would generate revenue is if you had contracts with insurance companies to do MTMs or CMRs, which are much more targeted "counseling" sessions than simply acting as a concierge service, and at that point you wouldn't even a retail pharmacist anymore (and this "type" of pharmacist also being undercut by organizations such as Aspen Rxhealth).
Finally, another argument retail pharmacists try to make is that "PBMs are reimbursing us poorly, if they paid us more then we will actually feel that we are adequately reimbursed for our services" to which I want to make two points:
1. If you are talking about reimbursement for the total cost of a drug (because retail profitability is ultimately about buying low and selling high to make a margin), then I fail to see how a pharmacist salary is justified because any lay person can do this. Think of all the home/individual businesses that rely on this business model, whether it be reselling clothes, electronics, games etc - most of these people aren't fashion designers, tech gurus or professional gamers and yet they can find success in their business without having any "technical" knowledge of the products they are reselling.
2. If you are talking about increasing reimbursements for dispensing fees paid out to the pharmacies for filling each prescription (from $1 per prescription filled to $10 per prescription filled, for example), then again I fail to see how pharmacists' salaries are justified as technicians who practically make minimum wage salaries can fill a heck of a lot more prescriptions than pharmacists for much cheaper. A similar analogy would be a doctor's office asking a patient to pay $500 instead of $50 for a normal office visit because "the doctor can't survive on $50 and has to be compensated for his time" when in reality the clerk will handling your insurance, the nursing assistant will be taking your vitals/take your history and you will only talk to the real doctor for 3-5 minutes, to which as a consumer I will wonder why I am paying $500 to talk to a doctor for 5 min and think it's a ripoff.
So the bottom line is that retail pharmacists are pretty much worthless and that won't ever change so get out if you can because there's no saving that dying horse.